Why are Medicare and Medicaid shown separately instead of combined?

They come from two different CMS data sources with no shared claim identifier, so they can't be reconciled into one number without double-counting or guessing. Every table and chart on this page keeps them fully separate.

Why is there no private/commercial revenue figure?

Private and commercial payer data comes from Transparency in Coverage files, which only publish negotiated rates — not claims or utilization volume. Without a volume figure, no revenue number can be computed for any provider from that data.

What does "Rank" mean in the Competitive Analysis & Benchmarks tables?

For a given CPT/HCPCS code, it's this provider's position by claims volume among all providers billing that same code at that geography level (State, National, or Washington for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to Washington only?

Medicaid is administered per-state with no single national fee schedule, so a state or national comparison the way Medicare has one isn't available. Washington (this provider's own state) is the only grouping that's conceptually meaningful.

Why are the numbers rounded to the nearest 10?

To avoid implying more precision than the underlying data supports at a single-provider level. Ratios are kept precise since they're a relative comparison, not a volume or dollar figure.

How current is this data?

The Medicare and Medicaid tables are both single current snapshots, not refreshed on a recurring schedule yet.

Anthony Caruso (NPI 1013913938)

Field	Value
Entity Type	Individual
Organization	Anthony Caruso
Address	34612 6th Ave S
City	Federal Way
State	WA
ZIP	98003
Taxonomy	Urology Physician
NPI Enumerated	June 24, 2005

Payer Source	Total Paid
Medicare	$135.9K
Medicaid	$0

Medicare: Complete Services Breakdown

The CPT/HCPCS codes generating the most Medicare revenue for this provider.

14 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
99215	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the…	310	$140	$42.5K
99214	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the…	420	$100	$41.9K
52000	In this procedure, the provider performs an examination of the interior of the bladder, the urethra, and the ureteric openings by means of a cystourethroscope, a thin flexible or rigid tube with a…	60	$220	$14K
84153	The lab analyst performs testing for total prostate specific antigen, PSA, typically on serum or plasma samples using laboratory analyzers. PSA is a protein the prostate gland produces, and…	430	$20	$7.7K
51725	A cystometer measures the bladder's capacity, or bladder pressure. It evaluates the contraction and expulsion activities of the bladder, and is used to diagnose certain urinary disorders.	30	$200	$6.9K
99205	The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the provider…	40	$190	$6.7K
99213	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the…	60	$70	$4.5K
36415	In this procedure, the provider inserts a needle into a vein to collect a blood sample.	430	$10	$3.4K
99223	The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…	20	$150	$2.4K
51798	Providers perform this ultrasound to measure the volume of residual urine in the bladder.	230	$10	$2.3K

Showing 1–10 of 14

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 14 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Washington Distribution

Anthony Caruso — 4 of 14 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Washington

Full comparison — all codes billed, vs. state median

14 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
52000	122	180	90	$140	$14.4K
99214	906	10,860	100	$80	$13.6K
99215	134	4,320	40	$120	$8.4K
84153	9	140	30	$20	$7K
99213	4,840	9,690	60	$60	$6.5K
99223	1,999	2,570	30	$130	$6.4K
99205	607	1,820	30	$150	$5.4K
36415	124	1,920	60	$10	$3.5K
51725	1	10	10	$170	$3K
51798	32	170	110	$10	$1.3K

Showing 1–10 of 14

Related Providers

Other providers that share a Tax Identification Number (TIN) with Anthony Caruso, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Providence Health & Services Washington	WA	General Acute Care Hospital	$0	$39.9M
Providence Health & Services Washington	WA	Family Medicine Physician	$0	$20M
Jocelyn De Yao	CO	Internal Medicine Physician	$607.2K	$0
Daniel Stroupe	IL	Infectious Disease Physician	$123.1K	$318K
Ryan Stern	WA	Otolaryngology Physician	$395K	$0
Yi Hsieh	WI	Urology Physician	$299K	$0
Stephen King	WA	Urology Physician	$275.7K	$0
Gopal Ghimire	WA	Interventional Cardiology Physician	$274.3K	$0
Robert Wark	WA	Clinical Cardiac Electrophysiology Physician	$251K	$0
Kamal Joshi	WA	Clinical Cardiac Electrophysiology Physician	$248.1K	$0

Nearby Providers

Other providers in the same ZIP code as Anthony Caruso, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Ashley House	WA	Nursing Care Agency	$0	$46.5M
St Francis Community Hospital	WA	General Acute Care Hospital	$0	$44.7M
Wei Guo, Dmd,md,pllc	WA	Oral and Maxillofacial Surgery (Dentist)	$0	$8.3M
Multicare Health System	WA	Pediatrics Physician	$0	$6.9M
Sea Mar Community Health Centers	WA	Federally Qualified Health Center (FQHC)	$0	$6.8M
Healthpoint	WA	Federally Qualified Health Center (FQHC)	$0	$6.8M
Bridging Care, LLC	WA	Community/Behavioral Health Agency	$0	$6.5M
Ellen Polsky Dds And Bobby Virk Dmd, Ps	WA	Pediatric Dentistry	$0	$5.8M
Eid, Jaber, Jassar, PLLC	WA	Dental Clinic/Center	$0	$4.2M
Pediatric Specialty Practices, PLLC	WA	Pediatrics Physician	$0	$3.7M

Anthony Caruso — Billing Profile & Reimbursement Data

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Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References